This report responds to a North Dakota legislative mandate to study the state's early childhood tracking system for children who are at risk for developmental delays. Introductory sections summarize critical definitions and relevant federal legislation (specifically Part H of Public Law 99-457). The North Dakota program is then reviewed. Nineteen medical or biological risk factors, three developmental risk indicators, and eleven environmental risk factors are listed. Briefly considered are the tracking processes of monitoring and referral. The North Dakota tracking system is reported to involve 35 interagency teams throughout the state and current tracking of 984 children. Ten concerns are identified (e.g., locating children who need services, dealing with confidentiality, and developing a statewide data management system). The most urgent concern is seen to be the continued financing of early intervention services. The legislative resolution authorizing this study is attached. (DB)